Laparoscopic Heller procedure for the treatment of esophageal achalasia
Background. The need of fundoplication while the Heller procedure is still controversial. It was proved, that fundoplication reduces the rate of gastroesophageal reflux, but increases surgery time and may increase the recurrence rate. Thus, we hypothesized that fundoplication must have exact indications, such as achalasia, associated with hiatal hernia and preoperative gastroesophageal reflux. So, this… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Ultrasound Overstaging of N-status in Patients with Esophageal Adenocarcinoma
Introduction: Lymphatic metastases are a key determinate of prognosis with esophageal cancer. Endoscopic ultrasound (EUS) is the leading modality for local-regional staging of esophageal cancer, and patients thought to be node-positive are typically recommended to have neoadjuvant therapy prior to esophagectomy. The aim of this study was to asses the prevalence and characteristics of patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Prognostic value of endoscopic ultrasound in re-staging after neoadjuvant treatment in esophageal cancer
Introduction:Endoscopic ultrasound (EUS) in patients with esophageal cancer is a useful diagnostic tool for locoregional tumor staging. Patients with advanced esophageal cancer receive neoadjuvant radiochemotherapy to downstage the tumor prior to surgery. The role and accuracy of EUS after neoadjuvant therapy is uncertain.Methods:Between 2002 and 2005 we prospectively enrolled 70 consecutive patients with localized esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical outcome after laparoscopic proximal gastrectomy for gastric cancer.
INTRODUCTION; Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for gastric carcinoma. Proximal gastrectomy, which is one of the noteworthy procedures, is performed to retain gastric function and minimize loss of digestive and absorptive ability. Recently, laparoscopic gastrectomy is increasingly applied for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Manometric profile after Laparoscopic Nissen Fundoplication and Endoluminal Fundoplication: A comparative study.
Introduction:Laparoscopic Nissen Fundoplication (LNF) is considered the gold standard of surgical treatment of GERD. An emerging endoscopic technology, the EsophyX (EsophyX™, EndoGastric Solutions Inc.) Endo Luminal Fundoplication (ELF), aims at reproducing the effect of the fundoplication by creating an intragastric valve with fasteners applied at the Gastro-Esophageal Junction (GEJ). Both techniques increase resting pressure and… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Gastric residues in the remnant stomach after laparoscopy-Assisted distal gastrectomy for gastric cancer
Background: Food retention in the remnant stomach is known to be seen after distal gastrectomy. We have performed laparoscopy-assisted distal gastrectomy (LADG) with Billroth I reconstruction since March 1999, and have come by cases with significant amount of gastric residues which hinder regular endoscopic follow-ups. It seemed to be observed more often with LADG compared… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Re-fundoplication As a Treatment for Gastroesophageal Reflux Disease (gerd) – a Study of 42 Cases.
BACKGROUND: Antireflux surgery has a low rate of re-operation, varying from 2 to 10%. Nevertheless, when this is necessary, it is common to opt for open surgery under the belief that this is safer. However, various centers have observed the efficiency of re-operation using laparascopic antireflux surgery, with a low rate for complications and good… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A decades experience of laparoscopic anterior Watson fundoplication in children.
Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic surgery for early gastric cancer in our institution
Back groundRecently, the laparoscopic operation to an early gastric cancer has established. This study was designed to review our initial experience with laparoscopic gastric surgical techniques to evaluate indications and surgical results.Study designWe undertook a retrospective analysis of 156 patients m(104 men and 52 women, mean age 62.4 years) who underwent laparoscopic gastric surgical procedures… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Efficiency of LARS for the treatment of extraesophageal GERD symptoms
Introduction. Gastroesophageal reflux disease (GERD) is common pathology with typical and atypical clinical presentation. Currently, the efficiency of laparoscopic antireflux surgery (LARS) for the treatment of extraesophageal GERD symptoms have not been completely studied. The aim was to study the efficiency of LARS for the treatment of extraesophageal GERD symptoms.Methods and procedures. From 1994 till… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Nineteen consecutive Laparoscopic Esophagectomies without Gastric Conditioning: Zero Leak, Necrosis, or Mortality
Introduction: Esophagogastric anastomosis ischemic events have a reported incidence of 3.2% resulting in leaks and necrosis. Gastric Conditioning (GC) has been proposed to reduce such morbidity. Unfortunately this exposes a debilitated patient to 2 operative procedures and is carried out 2-3 weeks prior to esophagectomy. We propose that with meticulous laparoscopic dissection, GC is not… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Long and Floppy Nissen Fundoplication
POSTER ABSTRACT OBJECTIVES: To improve patient’s satisfaction, reduction of post operative dysphagia, and the possibility of using this technique modification in all cases, despite alterations in esophageal motility.METHODS: Fundoplication was performed with the following features: a) 360º, b) Symmetrical: sutured to the right side of the esophagus, c) Longer: 4 to 5 cm., d) Floppy:… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic versus open gastrectomy for adenocarcinoma : A proscpective comparative analysis
BACKGROUND: The role of laparoscopic gastrectomy in the treatment of gastric adenocarcinoma.AIM: To compare open and laparoscopic gastrectomy for adenocarcinoma.METHODS : Between january 2000 and december 2006, we prospectively enrolled all patients operated for gastric adenocarcinoma. Datas were later analyzed according to the type of procedure (open versus laparoscopic). Parameters included : operative incidents, conversion,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Assessment of the Clinical Utility of Routine Barium Esophagram After Laparoscopic Anterior Esophageal Myotomy for Achalasia
Introduction: The purpose of this study is to evaluate the clinical utility of routine barium esophagram (BAS) after laparoscopic anterior esophageal myotomy for achalasia.Methods: Records of 260 consecutive patients (pts) undergoing laparoscopic anterior esophageal myotomy for achalasia from 5/96-8/07 were reviewed from a prospective, IRB-approved database. All radiographic reports and perioperative records were reviewed. Data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorrhaphy
Objective: To evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication. Background: Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease with success rates from 90-95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery